- Rush University (Chicago, IL)
- …implement solutions for current situations. The Ambulatory RN 2 is a competent nurse who has mastered technical skills and utilizes evidence based interventions. The ... with peers. 8.Participates in and contributes to system and clinic based quality initiatives, research, development of care protocols and evidence based activities… more
- CVS Health (Phoenix, AZ)
- …care more personal, convenient and affordable. **Position Summary** This is a fulltime Quality Management Nurse Consultant opportunity within Arizona. The ... 60 miles) about 25-50% of the time. The QM Nurse Consultant is a work at home role. Experienced...limited to member services, provider relations and integrated care management ) to achieve the common goal of improving member… more
- UHS (Binghamton, NY)
- Quality Management Nurse Analyst, UHS Binghamton General Hospital Shift Day Hours per week: 32 Salary range: $40.70 - $61.05 per hour, depending on ... 3 years experience License/Certification + Minimum Required: + New York State Registered Nurse or eligible About United Health Services United Health Services is a… more
- HCA Healthcare (Savannah, GA)
- **Description** **Introduction** Do you have the career opportunities as a Quality Assurance and Risk Management Nurse you want in your current role? We ... Georgia Eye Institute Surgery Center. **Job Summary and Qualifications** As the Quality /Risk Management Nurse you will be responsible for evaluating and… more
- UCLA Health (Los Angeles, CA)
- Description As the Utilization Management & Quality Review Nurse , you will be responsible for: + Ensuring appropriate, cost-effective, and high- quality ... care for New Century Health Plan members + Conducting utilization management (UM) activities in accordance with health plan policies and regulatory guidelines +… more
- Veterans Affairs, Veterans Health Administration (Tampa, FL)
- Summary James A Haley Veterans Hospital and Clinics has a Registered Nurse Quality Management consultant for the External Peer Review Program (EPRP). ... Quality Management (QM) Consultant Registered Nurse (RN) focus on individual growth and development in practice with increased levels of self-direction in … more
- Molina Healthcare (AZ)
- **Job Description** **Job Summary** Molina's Quality Management function implements, oversees, and maintains new and existing healthcare quality monitoring ... standards; informs data collection, reporting, and analysis to monitor key quality management activity; and provides direction and implementation of… more
- CVS Health (Tallahassee, FL)
- …years of clinical experience required - 2+ years of experience as a Registered Nurse - Must have active current and unrestricted RN licensure in state of residence ... 5:00pm in time zone of residence **Preferred Qualifications** - Utilization Management review - Managed Care experience - Client processing experience **Education**… more
- US Tech Solutions (RI)
- …support as required. **Responsibilities:** + Reviews documentation and evaluates potential quality of care issues based on clinical policies and benefit ... Medicare/Medicaid knowledge. + MUST HAVE UM experience, inpatient utilization management review. + MUST HAVE 1 YEAR OF UTILIZATION... review. + MUST HAVE 1 YEAR OF UTILIZATION MANAGEMENT EXP, pref. knowledge of Milliman/MCG. + MUST HAVE… more
- CVS Health (Phoenix, AZ)
- …**Must reside in Arizona, preferably in the Phoenix Metro area.** **Hours: Monday- Friday 8:00am-5:00pm** Responsible for the review and evaluation of clinical ... information and documentation. Reviews documentation and interprets data obtained from clinical records or systems to apply appropriate clinical criteria and policies in line with regulatory and accreditation requirements for member and/or provider issues.… more
- Northwell Health (New York, NY)
- **Req Number** 137365 Coordinates and implements the Quality Management /Performance Improvement Program at the facility. + Conducts education on quality ... management and performance improvement theoretical frameworks to promote high quality patient care. + Assists in developing appropriate measurements to assess… more
- Veterans Affairs, Veterans Health Administration (West Haven, CT)
- …campus. This position is full-time at 40 hours per week. Responsibilities The Quality Management (QM) Registered Nurse (RN) demonstrates leadership, ... Summary The Registered Nurse QM Specialist position is located in West...The QM Consultant is assigned responsibility for their assigned quality management program area activities for the… more
- McLaren Health Care (Flint, MI)
- **Department:** Quality Improvement **Shift:** Days **Daily Work Times:** 7:00am - 3:30pm **Scheduled Biweekly Hours:** 80 **Position Summary:** Acts as a quality ... to assigned clinical outcomes. Assists with, and coordinates, ongoing data management and monitoring of clinical performance and compliance with standards/guidelines… more
- Covenant Health Inc. (Knoxville, TN)
- Overview Nurse Practitioner, Quality Management Full Time, 80 Hours Per Pay Period, Day Shift Covenant Medical Group is Covenant Health's employed and ... Practitioner. CPR required. Apply/Share Job Title Nurse Practitioner ID 4113812 Facility Covenant Medical Management Department Name QUALITY MANAGEMENT more
- Texas Health Resources (Plano, TX)
- **Patient Advocate, Registered Nurse ** _Our Quality Management Department is looking for an experienced Patient Advocate to join their team!_ _Is that you?_ ... hours:** Full Time, 40 Hours, 8:30am - 5:00pm **Risk Management Department highlights:** . Dynamic team who work independently...the full suite of Microsoft . RN - Registered Nurse upon hire required . Excellent interpersonal and communication… more
- Texas Health Resources (Plano, TX)
- Patient Advocate, Registered Nurse Our Quality Management Department is looking for an experienced Patient Advocate to join their team! Is that you? Work ... Work hours: Full Time, 40 Hours, 8:30am - 5:00pm Quality Management Department highlights: * Press Ganey...the full suite of Microsoft * RN - Registered Nurse upon hire required * Excellent interpersonal and communication… more
- Cleveland Clinic (Cleveland, OH)
- …years clinical experience required. + Minimum one (1) year risk management , quality management or legal nurse consulting experience preferred. **Physical ... Directs the organization's clinical risk management program on a day-to-day basis and implements...process. + Other duties as assigned. **Education:** + Registered Nurse (BSN) or bachelor's degree in a health sciences… more
- Veterans Affairs, Veterans Health Administration (Kings County, NY)
- …with other service chiefs. The Nurse IV Deputy Chief of Quality Management (QM) functions as an advisor, administrator, educator, consultant, and ... or Scope of Assigned Duties: The Deputy Chief of Quality Management (QM) is a member of...measures. VA offers a comprehensive total rewards package: VA Nurse Total Rewards Pay: Competitive salary, regular salary increases,… more
- Prime Healthcare (Victorville, CA)
- …credentials and licensure. Connect With Us! (https://careers-primehealthcare.icims.com/jobs/185571/registered- nurse -%28rn%29 case- management quality ... (CMRN) works collaboratively as part of the ECM team and is responsible for the quality and resource management of ECM patients across the continuum of the… more
- Veterans Affairs, Veterans Health Administration (Leeds, MA)
- …week. Responsibilities Duties include but not limited to the following: Chief of Quality Management (QM) is a self-directed nursing professional who supervises ... Summary This position is the Chief of Quality and Patient Safety, at the VA Central...not limited to Accreditation, System Redesign, Patient Safety, Risk Management , and High Reliability Organization (HRO). Assumes a leadership… more
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